Richardson, Kimble L

Richardson, Kimble L is an individual health care provider with primary practice located at 7165 Clearvista Way , Indianapolis IN 46256-4621. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Richardson, Kimble L can be contacted via phone (317) 621-5756.

Contact Information

Primary practice address
7165 Clearvista Way Indianapolis IN 46256-4621
Phone: (317) 621-5756
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000004A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34002814A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000369A Indiana

Profile Details

NPI number 1073598629
LBN Legal business name Richardson, Kimble L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Mar 12th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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